Individual
BO TAO GU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10025 QUEENS BLVD, SUITE 1-P, FOREST HILLS, NY 11375-2454
(718) 896-0909
Mailing address
10025 QUEENS BLVD, SUITE 1-P, FOREST HILLS, NY 11375-2454
(718) 896-0909
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000461
NY
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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